CPT® Code 27003

The procedure described by CPT® Code 27003 refers to a surgical intervention known as a tenotomy of the adductor muscle, which is located on the inner side of the hip joint. This specific procedure is performed through an open approach and involves the subcutaneous layer, meaning that the incision is made through the skin and the underlying tissues without penetrating deeper structures unnecessarily. The primary purpose of an adductor tenotomy is to address conditions such as congenital hip dislocation or adduction contracture, which may occur in patients with spastic type cerebral palsy. These conditions can lead to abnormal positioning of the hip joint, necessitating surgical intervention to restore proper alignment and function. In this procedure, the surgeon not only performs the tenotomy, which involves cutting the adductor tendon to relieve tension, but also conducts an obturator neurectomy. This additional step involves the identification and excision of a portion of the anterior branch of the obturator nerve, which can help alleviate spasticity and improve the overall outcome of the surgery. Following the tenotomy and neurectomy, the femoral head is carefully repositioned within the acetabulum, the socket of the hip joint, to ensure proper alignment. To stabilize the hip joint post-surgery, a hip spica cast is applied, which immobilizes the area and supports the healing process. This comprehensive approach aims to enhance mobility and function in patients suffering from the aforementioned conditions.